Temporary Telerehab Payment Policy

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washington state department of labor and industries - claims and insurance

Temporary Telerehab Payment Policy 

A detailed temporary telerehab payment policy from Labor and Industries (L&I) will be published on our website next week. This temporary telerehab policy helps limit the spread of the coronavirus (COVID-19) outbreak and allows continued rehabilitation services when appropriate. Effective Mach 20, physical therapists, occupational therapists, and speech language pathologist may use telehealth as a modality to deliver services for established patients in outpatient settings. This policy allows telerehab for certain services, including but not limited to: 

  • Supervised therapeutic exercise, 
  • Self-care/home management, and
  • Cognitive therapy for speech pathology.

L&I's current payment policy and fee schedule already covers phone calls between providers and workers, see Chapter 10: Evaluation and Management Services for more details.

This temporary telerehab policy will allow the use of the worker's home as an origination site when they are receiving physical therapy, occupational therapy, or speech therapy services. See our Temporary Telehealth Payment Policy for additional details. 

Additionally, the temporary telerehab policy will state that L&I will not provide the worker with or reimburse the worker for equipment. If a worker doesn’t have access to high-speed internet via computer or a camera phone with reliable connectivity, the provider must work with the worker to identify an alternative.

The -GT modifier should not be used when billing telehealth. Make sure to bill using place of service 02 to indicate telehealth services when the worker's home is the origination site. The temporary telehealth policy allowing for the worker's home as an originating site applies to this temporary telerehab policy.  

Please note: a temporary telehealth policy is under consideration for brain injury rehabilitation services, and structured intensive multidisciplinary programs.

Questions on the payment policy after it's published? Contact us at HPPM@lni.wa.gov.